CALIFORNIA JUNIOR SCHOLARSHIP FEDERATION (CJSF) APPLICATION FORM MOTTO: Scholarship for Service
Name: ______Current Grade: ______
Applying for grades received (please check one):
▢ 3rd Trimester (previous year) due 8/29 ▢ 1st Trimester (current year) due 11/21 ▢ 2nd Trimester (current year) due 3/26
Membership in CJSF is not automatic; you must reapply each trimester before the deadline. Membership is based on scholarship, service and citizenship. Trimester membership is based on grades/service completed in the previous trimester. To join CJSF you must:
Complete this entire form, attach a copy of your report card and return to the library by 3:30 pm on date above. LATE APPLICATIONS WILL NOT BE ACCEPTED.
SCHOLARSHIP INFORMATION:
You must earn twice the number of points than courses in which are enrolled that meet membership requirements. CJSF points are granted as follows:
A=3 B=1 C=0 D/F or N/P will debar from membership if received in ANY class.
Please list all courses taken and grades earned below:
1. ______Grade: ______Points: ______2. ______Grade: ______Points: ______3. ______Grade: ______Points: ______4. ______Grade: ______Points: ______5. Elective ______Grade: ______Points: ______ or Exploratory_ (Exploratory is 0 pts) Grade: ______Points: _____0____ 6. ___Life Fitness (PE)______Grade: ______Points: _____0____
TOTAL POINTS EARNED ______
SERVICE INFORMATION: You must complete a total of 2 hours of community service in the same trimester during the trimester in which the grades were earned. Hours AFTER the end of the trimester should be applied to the following trimester.
Local community service is our preference. The volunteer service employee may not be your parent or a relative. Please refer to the back of this form for a list of community service ideas or refer to the CJSF Website.
ON CAMPUS COMMUNITY SERVICE RHMS Approved On-Campus Service (Student Store, Campus Clean Up, Bengal Day, Library) RHMS Employee Name and Signature ______Duties Performed______
OFF CAMPUS COMMUNITY SERVICE 1 or More Hours Off-Campus Service Students must have preauthorization from Mrs. DiMauro( J4) or Mrs. Cox( J2) for all outside service not on the CJSF Website. You will be required to attach a letter on the organization’s letterhead stating the date service was provided, a description of service, hours completed and the name and signature of the contact person. The contact person may not be your parent or relative.
❏ Yes, my off campus community service was pre-approved (or listed on this application or the CJSF website) ❏ Yes, my verification Letterhead is attached ❏ Yes, I attached my report card
CITIZENSHIP INFORMATION:
If at any point in the previous or current trimester a student falls below 85 merits, he/she will be disbarred from membership. Mark the appropriate box. ▢ Yes, I have maintained 85 merits at all times during the previous and current trimester. ▢ No, I have not maintained 85 merits at all times during the previous and current trimester.
ON CAMPUS OR WITHIN DISTRICT VOLUNTEER SERVICE IDEAS:
After School Peer Tutor Library Assistant (help in the library) Join Hands 4 Hope Club and Volunteer in an activity th th Graduation Usher (6 or 7 grade only) Bengal Day Volunteer Knitting Club Volunteer Student Store Sports Team Volunteer
All volunteer hours must be completed within the trimester that the grade report was earned. In addition, all volunteer work completed by the student for the school or for the community is done without compensation and not for a parent or relative. Students may not earn a grade or money for their services.
JOIN THE HANDS 4 HOPE CLUB nd th Regular meetings are the 2 and 4 Tuesdays of each month in room G3
Harvest Festival Green Valley Elem. Harvest Festival William Brooks Elem. See information on the CJSF page on Mrs DiMauro’s Classroom website.
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